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Case Reports in Critical Care
Volume 2014 (2014), Article ID 634953, 4 pages
http://dx.doi.org/10.1155/2014/634953
Case Report

Buried Bumper Syndrome Revisited: A Rare but Potentially Fatal Complication of PEG Tube Placement

Department of General Surgery, Brookdale University Hospital Medical Center, Brooklyn, NY 11212, USA

Received 30 September 2013; Accepted 22 October 2013; Published 16 January 2014

Academic Editors: C. Diez, Y. Durandy, H. Kern, and Z. Molnar

Copyright © 2014 Saptarshi Biswas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Percutaneous endoscopic gastrostomy (PEG) has been used for providing enteral access to patients who require long-term enteral nutrition for years. Although generally considered safe, PEG tube placement can be associated with many immediate and delayed complications. Buried bumper syndrome (BBS) is one of the uncommon and late complications of percutaneous endoscopic gastrostomy (PEG) placement. It occurs when the internal bumper of the PEG tube erodes into the gastric wall and lodges itself between the gastric wall and skin. This can lead to a variety of additional complications such as wound infection, peritonitis, and necrotizing fasciitis. We present here a case of buried bumper syndrome which caused extensive necrosis of the anterior abdominal wall.